Castagna Alberto, Ruotolo Giovanni, Azzini Margherita, Aprile Pierangelo Lora, Vanacore Nicola, Pilotto Alberto, Veronese Nicola
SOC Cure Primarie, Distretto di Soverato, Azienda Sanitaria Provinciale Di Catanzaro, Catanzaro, Italy.
Department of Medical and Surgical Science, University Magna Grecia, Catanzaro, Italy.
Aging Clin Exp Res. 2025 May 12;37(1):147. doi: 10.1007/s40520-025-03036-1.
A fundamental phase in the life of new Guidelines is the implementation, which responds to the need to facilitate their adoption with interventions and procedures of proven effectiveness to increase their impact on public health. The implementation should follow a scientific method, and therefore shares many characteristics and the rigorous approach of clinical research. However, it differs in purposes, methods, and aims by addressing factors that include identifying and resolving barriers and facilitators in the adoption of evidence-based clinical innovations. The use of comprehensive geriatric assessment (CGA) can be facilitated by technological tools, with the possibility of early diagnosis of several chronic conditions, monitoring and management of the diseases typical of older people and, finally, to personalized care and optimization of healthcare resources. However, remote CGA also has limitations, including technology requirements, data security/privacy, and the need for comprehensive evaluation and simplicity. In this document we present the history and the model of implementation of the Italian guidelines on CGA in older persons. The standardization of CGA in older adults across different settings is particularly important in countries like Italy, that have among the oldest world population and where broader implementation of CGA, also outside traditional geriatric settings, has become a health priority that cannot longer be delayed.
新指南实施是其生命周期中的一个基本阶段，该阶段旨在通过行之有效的干预措施和程序来促进指南的采用，以增强其对公共卫生的影响。实施应遵循科学方法，因此具有许多临床研究的特点和严谨方法。然而，它在目的、方法和目标上有所不同，因为它要解决包括识别和消除循证临床创新应用中的障碍及促进因素等问题。技术工具可推动综合老年评估（CGA）的应用，实现多种慢性病的早期诊断、老年人典型疾病的监测与管理，最终实现个性化护理并优化医疗资源。然而，远程CGA也存在局限性，包括技术要求、数据安全/隐私以及全面评估和简便性需求等。在本文中，我们介绍了意大利老年人CGA指南的实施历史和模式。在像意大利这样拥有世界上最老龄人口的国家，不同环境下老年人CGA的标准化尤为重要，在传统老年病学环境之外更广泛地实施CGA已成为一项刻不容缓的卫生优先事项。
